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https://www.readbyqxmd.com/read/29908801/housing-management-characteristics-and-factors-associated-with-lameness-hock-lesion-and-hygiene-of-lactating-dairy-cattle-on-upper-midwest-united-states-dairy-farms-using-automatic-milking-systems
#1
James A Salfer, Justin M Siewert, Marcia I Endres
The objectives of this cross-sectional study were to describe housing and management practices on farms using automatic milking systems (AMS) in 2 states of the upper Midwest and to evaluate the association of various housing and management factors with 3 measures of animal welfare: prevalence of lameness, severe hock lesions, and dirty cows. Fifty-four farms were visited once to collect facility measurements and observations, interview the dairy producer, and score cows for locomotion, hock lesions, and hygiene...
June 13, 2018: Journal of Dairy Science
https://www.readbyqxmd.com/read/29904479/massive-fetal-cervical-teratoma-managed-with-the-ex-utero-intrapartum-treatment-exit-procedure
#2
Emily Olivares, Justin Castellow, Jamil Khan, Susanne Grasso, Victor Fong
Teratomas are rare congenital tumors typically comprising all 3 germ cell layers. Cervical teratomas arise in the neck and represent a minority of all teratomas. These are associated with high morbidity and mortality because of their propensity to cause airway obstruction. Demonstration on prenatal magnetic resonance imaging is uncommon, especially for a tumor of this size. Fetuses diagnosed with large neck masses are managed through cesarean section with the ex utero intrapartum treatment procedure to secure the airway, such as in our case of a large cervical teratoma in the female fetus of a 30-year-old mother who went into preterm labor...
April 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29902983/health-providers-pass-knowledge-and-abilities-acquired-by-training-in-obstetric-emergencies-to-their-peers-the-average-treatment-on-the-treated-effect-of-pronto-on-delivery-attendance-in-mexico
#3
Jimena Fritz, Héctor Lamadrid-Figueroa, Gustavo Angeles, Alejandra Montoya, Dilys Walker
BACKGROUND: A significant proportion of newborn and maternal deaths can be prevented through simple and cost-effective strategies. The main aim of this study was to evaluate the impact of the PRONTO obstetric-emergency management training for improving evidence-based birth attendance practices among providers attending the training at 12 hospitals in three states of Mexico from 2010 to 2012, and to estimate dissemination of the training within the hospitals. METHODS: The average treatment on the treated effect of the PRONTO intervention for the probability of performing certain practices during birth attendance was estimated in a sample of 310 health providers...
June 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29902037/introducing-supported-self-management-for-depression-to-primary-care-in-vietnam-a-feasibility-study-in-preparation-for-a-randomized-controlled-trial
#4
Jill Murphy, Pham Thi Oanh, Charles H Goldsmith, Wayne Jones, Vu Cong Nguyen
INTRODUCTION: Although depression is a major contributor to the global burden of disease, services remain scarce in many low- and middle-income countries. In Vietnam, depression services are limited, and the government has recently prioritized primary care and community-based service integration. We conducted a pilot study in 2 districts of Hanoi to test the feasibility of (a) introducing a supported self-management (SSM) intervention for adult depression in primary care in Vietnam, and (b) conducting a randomized controlled trial (RCT) to test the effectiveness of the intervention...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29901641/spontaneous-postnatal-complete-resolution-of-an-antenatally-diagnosed-fetal-hepatic-cyst-a-case-report
#5
Denis Mihai Serban, Costela Serban, Dan Navolan, Ioan Sas
RATIONALE: Antenatal diagnosis of a fetal hepatic cyst is rare. Since in most cases the lesion is treated after birth by surgery only a few reports present a complete spontaneous resolution of an antenatally diagnosed hepatic cyst. PATIENT CONCERNS: A single hepatic cyst (1.34/1.47 cm) was diagnosed in a fetus at 36 weeks of pregnancy while mother was in labor. After an uneventful vaginal birth, a multidisciplinary evaluation of the newborn confirmed the presence of the cyst...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29900608/early-labor-cerebroplacental-ratio-assessment-in-uncomplicated-term-pregnancies-and-prediction-of-adverse-perinatal-outcomes-a-prospective-multicentre-study
#6
Andrea Dall'Asta, Tullio Ghi, Giuseppe Rizzo, Annalisa Cancemi, Filomena Aloisio, Domenico Arduini, Giuseppe Pedrazzi, Francesc Figueras, Tiziana Frusca
INTRODUCTION: Doppler ultrasound has recently been suggested to identify subclinical placental functional impairment among normal sized term fetuses. The objective of this study was to evaluate the relationship between cerebroplacental ratio (CPR) measured in early labor and perinatal and delivery outcomes in a cohort of uncomplicated singleton term pregnancies. METHODS: This was a multicentre, prospective, observational study involving three Tertiary Centres. Low risk term pregnancies, as defined by the absence of any maternal morbidity and pregnancy complication and normal ultrasound and clinical screening of the fetal growth in the third trimester, with spontaneous onset of labor were included...
June 13, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29899607/improvements-in-essential-newborn-care-and-newborn-resuscitation-services-following-a-capacity-building-and-quality-improvement-program-in-three-districts-of-uttar-pradesh-india
#7
Manoja Kumar Das, Chetna Chaudhary, Sadhu Charan Mohapatra, Vinod Kumar Srivastava, Najam Khalique, Santosh Kumar Kaushal, Rajesh Khanna, Surojit Chatterji
Background: Neonatal death remains a global challenge contributing to 45% of underfive deaths. With rising institutional delivery, to accelerate decline in neonatal mortality rate (NMR) improvement in the quality of perinatal care requires attention. Objectives: This implementation research targeted improving service delivery readiness for quality of newborn care at public health facilities in three districts of Uttar Pradesh, India, with high NMR. Materials and Methods: This before-after study assessed the facility readiness and quality of newborn services at 42 health facilities...
April 2018: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29898345/simulation-of-changes-on-the-psychosocial-risk-in-the-nursing-personnel-after-implementing-the-policy-of-good-practices-on-the-risk-treatment
#8
María Paula Bolívar Murcia, Joan Paola Cruz González, Luz Angélica Rodríguez Bello
OBJECTIVES: Evaluate the change over time of psychosocial risk management for the nursing personnel of an intermediate complexity clinic of Bogota (Colombia). METHODS: Descriptive and correlational research performed under the approach of risk management (identification, analysis, assessment and treatment). The psychosocial risk of the nursing personnel was studied through 10-year system dynamics models (with and without the implementation of the policy of good practices on the risk treatment) in two scenarios: when the nursing personnel works shifts of 6 hours (morning or afternoon) and when they work over 12 hours (double shift or night shift)...
February 2018: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29895276/improvement-in-the-active-management-of-the-third-stage-of-labor-for-the-prevention-of-postpartum-hemorrhage-in-tanzania-a-cross-sectional-study
#9
Dunstan R Bishanga, John Charles, Gaudiosa Tibaijuka, Rita Mutayoba, Mary Drake, Young-Mi Kim, Marya Plotkin, Neema Rusibamayila, Barbara Rawlins
BACKGROUND: Tanzania has a maternal mortality ratio of 556 per 100,000 live births, representing 21% of all deaths of women of reproductive age. Hemorrhage, mostly postpartum hemorrhage (PPH), is estimated to cause at least 25% of maternal deaths in Tanzania. In 2008, the Ministry of Health, Community Development, Gender, Elderly and Children launched interventions to improve efforts to prevent PPH. Competency-based training for skilled birth attendants and ongoing quality improvement prioritized the practice of active management of the third stage of labor (AMTSL)...
June 13, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29895275/-late-for-testing-early-for-antiretroviral-therapy-less-likely-to-die-results-from-a-large-hiv-cohort-study-in-china-2006-2014
#10
Houlin Tang, Yurong Mao, Weiming Tang, Jing Han, Juan Xu, Jian Li
BACKGROUND: Timely HIV testing and initiation of antiretroviral therapy are two major determinants of survival for HIV-infected individuals. Our study aimed to explore the trend of late HIV/AIDS diagnoses and to assess the factors associated with these late diagnoses in China between 2006 and 2014. METHODS: We used data from the Chinese Comprehensive Response Information Management System of HIV/AIDS (CRIMS). All individuals who tested positive for HIV between 2006 and 2014 in China and were at least 15 years of age were included...
June 13, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29895203/pregnancy-after-whipple-procedure-a-new-case-and-review-of-the-literature
#11
Giulia Magoga, Laura Felder, Francesco Palazzo, Vincenzo Berghella
BACKGROUND: Whipple procedure is a complex operation usually performed to treat periampullary neoplasms. There are only four case reports of five pregnancies after Whipple procedure, with limited evidence about how to manage pregnancy after this surgery. CASE: A 28-year-old gravida 5 Para 2022 presented to our hospital at 20 weeks with worsening depression. She had a history of Whipple for a solid pseudopapillary neoplasm of the pancreas followed by two pregnancies...
June 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29889751/outpatient-foley-catheter-for-induction-of-labor-in-parous-women-a-randomized-controlled-trial
#12
Spencer G Kuper, Victoria C Jauk, David M George, Rodney K Edwards, Jeff M Szychowski, Sara E Mazzoni, Michelle J Wang, Pamela Files, Alan T Tita, Akila Subramaniam, Lorie M Harper
OBJECTIVE: To assess whether outpatient cervical ripening with a transcervical Foley catheter in parous women undergoing elective induction of labor shortens the total duration of time from admission to the labor ward until delivery. METHODS: We performed an open-label randomized controlled trial at a single academic center in parous women at 39 weeks of gestation or greater with a cervix 3 cm or less dilated, or, if 2-3 cm dilated, less than 80% effaced and reassuring fetal heart rate monitoring (defined as moderate variability with a normal baseline and absence of decelerations)...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29889725/introduction-of-continuous-video-eeg-monitoring-into-2-different-nicu-models-by-training-neonatal-nurses
#13
Ipsita Goswami, Luis Bello-Espinosa, Jeffrey Buchhalter, Harish Amin, Alexandra Howlett, Michael Esser, Sumesh Thomas, Cathy Metcalfe, Jan Lind, Norma Oliver, Silvia Kozlik, Khorshid Mohammad
BACKGROUND: Continuous video electroencephalographic (EEG) (cvEEG) monitoring is emerging as the standard of care for diagnosis and management of neonatal seizures. However, cvEEG is labor-intensive and the need to initiate and interpret studies on a 24-hour basis is a major limitation. PURPOSE: This study aims at establishing consistency in monitoring of newborns admitted to 2 different neonatal intensive care units (NICUs) managed by the same neurocritical care team...
June 8, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29888150/postpartum-magnesium-sulfate-overdose-a-multidisciplinary-and-interprofessional-simulation-scenario
#14
Adam Garber, Purnima M Rao, Chandrew Rajakumar, George A Dumitrascu, Genevieve Rousseau, Glenn D Posner
This case is one of an eight-case multidisciplinary curriculum designed and implemented at the University of Ottawa by simulation educators with specialty training in obstetrics and gynecology (OB/GYN) and anesthesiology. Consultation with a nurse educator maintained the quality and relevance of objectives for nursing participants. The curriculum was prepared to train OB/GYN and anesthesiology residents and labor and delivery nurses to hone crisis resource management skills and to recognize and manage rare/critical medical events in an obstetrical setting...
April 7, 2018: Curēus
https://www.readbyqxmd.com/read/29885712/interdisciplinary-team-huddles-for-fetal-heart-rate-tracing-review
#15
Lisa Thompson, Cynthia Krening, Dolores Parrett
To address an increase in unexpected poor outcomes in term neonates, our team developed a goal of high reliability and improved fetal safety in the culture of the Labor and Delivery nursing department. We implemented interdisciplinary reviews of fetal heart rate, along with a Category II fetal heart rate management algorithm and a fetal heart rate assessment rapid response alert to call for unscheduled reviews when needed. Enhanced communication between nurses and other clinicians supported an interdisciplinary approach to fetal safety, and we observed an improvement in health outcomes for term neonates...
June 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29881780/the-economics-of-fishing-the-high-seas
#16
Enric Sala, Juan Mayorga, Christopher Costello, David Kroodsma, Maria L D Palomares, Daniel Pauly, U Rashid Sumaila, Dirk Zeller
While the ecological impacts of fishing the waters beyond national jurisdiction (the "high seas") have been widely studied, the economic rationale is more difficult to ascertain because of scarce data on the costs and revenues of the fleets that fish there. Newly compiled satellite data and machine learning now allow us to track individual fishing vessels on the high seas in near real time. These technological advances help us quantify high-seas fishing effort, costs, and benefits, and assess whether, where, and when high-seas fishing makes economic sense...
June 2018: Science Advances
https://www.readbyqxmd.com/read/29880182/pregnancy-and-childbirth-in-a-patient-with-multiple-sclerosis-a-case-report-of-successful-management
#17
Chun-Kai Wang, Chi-Kang Lin, Tun-Jun Wang, Chen-Yu Wang, Po-Chao Hsu, Her-Young Su
OBJECTIVE: Multiple sclerosis (MS) preferentially affects females of reproductive age, making reproduction an important issue for women with MS. An increased incidence of poor labor progress often results in assisted vaginal delivery or a cesarean section. However, with good pre-pregnancy counseling and management, women with MS can conceive and give birth safely. Here, we present a case of pregnancy with MS, which was carried to term uneventfully and ended with unassisted vaginal delivery...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29875914/-factors-associated-with-first-pregnancy-in-women-who-gave-birth-in-a-maternity-hospital-in-antananarivo-a-retrospective-cohort-study
#18
Eddie Rekoronirina, Justin Rahariniaina, Fanjandrainy Rasoaherinomenjanahary
Introduction: There are very few African and Malagasy literatures on general risk factors among primigravidae. This study aimed to determine the potential risk factors associated with a first pregnancy. Methods: We conducted a retrospective cohort study among primigravidae and multigravidae women at the Hospital Sainte Fleur Pavilion between October 2014 and December 2016. The relative risks were adjusted after examinations according to sociodemographic features...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29874660/the-hypothalamic-pituitary-adrenal-axis-and-the-fetus
#19
Amr Morsi, Donald DeFranco, Selma Witchel
Glucocorticoids (GCs), cortisol in humans, influence multiple essential maturational events during gestation. In the human fetus, fetal hypothalamic-pituitary-adrenal (HPA) axis function, fetal adrenal steroidogenesis, placental 11β- hydroxysteroid dehydrogenase type 2 activity, maternal cortisol concentrations, and environmental factors impact fetal cortisol exposure. The beneficial effects of synthetic glucocorticoids (sGCs), such as dexamethasone and betamethasone, on fetal lung maturation have significantly shifted the management of preterm labor and threatened preterm birth...
June 6, 2018: Hormone Research in Pædiatrics
https://www.readbyqxmd.com/read/29867536/relationship-between-short-term-variability-stv-and-onset-of-cerebral-hemorrhage-at-ischemia-reperfusion-load-in-fetal-growth-restricted-fgr-mice
#20
Takahiro Minato, Takuya Ito, Yoshiyuki Kasahara, Sayaka Ooshio, Tomofumi Fushima, Akiyo Sekimoto, Nobuyuki Takahashi, Nobuo Yaegashi, Yoshitaka Kimura
Fetal growth restriction (FGR) is a risk factor exacerbating a poor neurological prognosis at birth. A disease exacerbating a poor neurological prognosis is cerebral palsy. One of the cause of this disease is cerebral hemorrhage including intraventricular hemorrhage. It is believed to be caused by an inability to autoregulate cerebral blood flow as well as immaturity of cerebral vessels. Therefore, if we can evaluate the function of autonomic nerve, cerebral hemorrhage risk can be predicted beforehand and appropriate delivery management may be possible...
2018: Frontiers in Physiology
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